DR. JENNICA RACHEL JENKINS (NPI# 1023308079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023308079 |
| Entity Type | Individual |
| Full Name | DR. JENNICA RACHEL JENKINS |
| Credential | PSYD, LPC, LPCC, PPS |
| Practice Address |
1899 E Roseville Pkwy Ste 140 Roseville CA 95661-7980 |
| Mailing Address |
2351 Sunset Blvd # 170-241 Rocklin CA 95765-4338 |
| Practice Telephone | 9167473799 |
| Mailing Telephone | 9167473799 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2014-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PSYD CCU SANTA A | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
EXAM PASS # 2751 | Behavioral Health & Social Service Providers | |
| Y | 101YP2500X |
Counselor Specialization: Professional |
26 | CA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC6072 | CO | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
50164430 | CA | Behavioral Health & Social Service Providers |
| N | 146D00000X | Personal Emergency Response Attendant | TRAUMA AND | Emergency Medical Service Providers | |
| N | 1744R1102X |
Specialist Specialization: Research Study |
ADOLESCENT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA BOARD OF BEHAVIORAL SCIENCES | 26 | 01 |
| Street Address |
1899 E ROSEVILLE PKWY STE 140 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-7980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447617691 | David Jon Sachs | Counselor | 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661-7980 | 2016-01-19 |
| 1104299585 | Solomia Pro | Counselor | 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661-7980 | 2015-11-05 |
| 1609248178 | Maria C Gallardo | Counselor | 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661-7980 | 2015-10-23 |
| 1972936466 | The Anxiety Treatment Center of Sacramento | Psychologist | 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661-7980 | 2013-08-20 |
| 1386909265 | Dr. Regina Granados, Incorporated | Specialist | 1899 E Roseville Pkwy Ste 140, Ste # 140, Roseville, CA 95661-7980 | 2012-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922633254 | Dove Inc. | Counselor | 2353 Rice St Ste 105, Roseville, MN 55113-3721 | 2020-03-06 |
| 1265089163 | Dominador Christopher Chipeco | Counselor | 2233 Hamline Ave N Ste 412, Roseville, MN 55113-5006 | 2019-08-25 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1588117709 | Sara Spencer | Counselor | 4056 Impala Cir, Roseville, CA 95678-6744 | 2016-07-25 |
| 1770935249 | Evelyn Rose Solorzano | Counselor | 1544 Eureka Rd Ste 100, Roseville, CA 95661-3092 | 2016-07-08 |
| 1003270406 | Angela Smith | Counselor | 26681 Lehner St, Roseville, MI 48066-3286 | 2016-04-12 |
| 1245628395 | Michelle Bartley | Counselor | 1000 Haman Way, Roseville, CA 95678-7501 | 2014-12-23 |
| 1215203864 | Christine Lee Manthey | Counselor | 2079 Skillman Ave. West, Roseville, MN 55113 | 2012-03-28 |
| 1346489838 | Donald Horton | Counselor | 1053 Lovell Ave W, Roseville, MN 55113-4424 | 2009-02-06 |
| 1437798998 | Denaya Lou-jean Rockstad | Counselor | 2589 Hamline Ave N Ste C, Roseville, MN 55113-3185 | 2020-01-02 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.